OrganizationActive
Juan Chediak MD
NPI 1477795839 · Specialist · Chicago, IL
Juan Chediak MD is a Specialist organization in Chicago, IL (NPI 1477795839).
Provider details
- NPI number
- 1477795839
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Elizabeth Brundage, Practice Manager(708) 366-7177
- License
- 036-048665 (IL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3000 N Halsted St
Suite 600
Chicago, IL 60657-5188
Phone: (773) 868-0380
Fax: (773) 868-0382
Street-level locationGet directions
Mailing address
3000 N Halsted St
Chicago, IL 60657-5188
Registry dates
- Enumerated
- 2009-04-01
- Last updated
- 2009-04-01
Frequently asked questions
- What is Juan Chediak MD's NPI number?
- Juan Chediak MD's National Provider Identifier (NPI) is 1477795839, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Juan Chediak MD?
- Juan Chediak MD is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Juan Chediak MD located?
- Juan Chediak MD's practice location on file with NPPES is 3000 N Halsted St, Chicago, IL 60657-5188.
- What is Juan Chediak MD's phone number?
- The practice phone number listed in the NPPES registry for Juan Chediak MD is (773) 868-0380.
- Who is the authorized official for Juan Chediak MD?
- The authorized official listed on Juan Chediak MD's NPPES record is Elizabeth Brundage, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Juan Chediak MD's NPI active?
- Yes — Juan Chediak MD's NPI (1477795839) is active in the NPPES registry as of the last update on 2009-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.